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Dorzolamide vs. Brimonidine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Dorzolamide

 

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Alphagan P

(brimonidine)

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Summary for Dorzolamide

Prescription only

Dorzolamide is an eye drop medication used to treat high pressure in the eye in people with glaucoma or ocular hypertension. The dosage is 1 drop applied directly into the affected eye(s) three times per day. It's available as a generic only as the brand-name medication Trusopt has been discontinued. Dorzolamide is a sulfa medication, so it might not be the best choice if you have a serious sulfa allergy. Side effects include burning or stinging in the eye and a bitter taste in the mouth.

Indications for Dorzolamide

Treatment of high pressure in the eye in people with:

Pros and Cons for Dorzolamide

Pros

  • Doesn't typically cause side effects throughout the rest of your body
  • Can be combined with other medications
  • Safe to use in children

Cons

  • Needs to be used 3 times a day
  • Can cause eye irritation right after applying a drop
  • Not the best option if you're allergic to sulfa medications

Common Side Effects for Dorzolamide

  • Burning or stinging in the eye (33%)
  • Bitter taste (25%)
  • Bacterial eye infection (10-15%)
  • Allergic reaction in the eye (10%)

Warnings for Dorzolamide

  • Severe allergic reactions
  • Risk for eye infection (from contamination)
  • Risk for swelling of the cornea

Summary for Brimonidine

Prescription only

Alphagan P (brimonidine) is a prescription eye drop that helps lower pressure in the eye and treats glaucoma. It's typically applied three times a day. Some common side effects include blurry vision, slight stinging in the eyes, and headaches. Alphagan P (brimonidine) is available as both a brand name and a generic medication.

Indications for Brimonidine

High pressure in the eye caused by:

Pros and Cons for Brimonidine

Pros

  • Good at treating high eye pressure
  • Start working to lower eye pressure in as quickly as 1 hour
  • Can be stored at room temperature

Cons

  • Can cause dry mouth, headache, and drowsiness
  • Applied 3 times daily
  • Must take out contact lenses out before applying

Common Side Effects for Brimonidine

  • Dry mouth (up to 30%)
  • Red eye (up to 30%)
  • Eye burning and stinging (up to 30%)
  • Headache (up to 30%)
  • Blurry vision (up to 30%)
  • Feeling like there's something in your eye (up to 30%)
  • Sleepiness (up to 30%)
  • Small white patches on the inside of the eyelids (up to 30%)
  • Allergic reactions in the eye (up to 30%)
  • Itchy eyes (up to 30%)

Warnings for Brimonidine

  • Risk of worsening of low blood flow
  • Risk of infections (from contamination)
  • No soft contact lenses
  • Only use in the eye

Prices with our coupons for Dorzolamide vs. Brimonidine

Price Card Drug Icon
Dorzolamide1 eye dropper / 10ml of 2%
$19.23-
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Price Card Drug Icon
Brimonidine1 eye dropper / 5ml of 0.2%
$13.01$24.40
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